LLM-Based Section Identifiers Excel on Open Source but Stumble in Real World Applications

Saranya Krishnamoorthy, Ayush Singh, Shabnam Tafreshi


Abstract
Electronic health records (EHR) even though a boon for healthcare practitioners, are grow- ing convoluted and longer every day. Sifting around these lengthy EHRs is taxing and be- comes a cumbersome part of physician-patient interaction. Several approaches have been pro- posed to help alleviate this prevalent issue ei- ther via summarization or sectioning, however, only a few approaches have truly been helpful in the past. With the rise of automated methods, machine learning (ML) has shown promise in solving the task of identifying relevant sections in EHR. However, most ML methods rely on labeled data which is difficult to get in health- care. Large language models (LLMs) on the other hand, have performed impressive feats in natural language processing (NLP), that too in a zero-shot manner, i.e. without any labeled data. To that end, we propose using LLMs to identify relevant section headers. We find that GPT-4 can effectively solve the task on both zero and few-shot settings as well as segment dramatically better than state-of-the-art meth- ods. Additionally, we also annotate a much harder real world dataset and find that GPT-4 struggles to perform well, alluding to further research and harder benchmarks.
Anthology ID:
2024.clinicalnlp-1.22
Volume:
Proceedings of the 6th Clinical Natural Language Processing Workshop
Month:
June
Year:
2024
Address:
Mexico City, Mexico
Editors:
Tristan Naumann, Asma Ben Abacha, Steven Bethard, Kirk Roberts, Danielle Bitterman
Venues:
ClinicalNLP | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
258–270
Language:
URL:
https://aclanthology.org/2024.clinicalnlp-1.22
DOI:
Bibkey:
Cite (ACL):
Saranya Krishnamoorthy, Ayush Singh, and Shabnam Tafreshi. 2024. LLM-Based Section Identifiers Excel on Open Source but Stumble in Real World Applications. In Proceedings of the 6th Clinical Natural Language Processing Workshop, pages 258–270, Mexico City, Mexico. Association for Computational Linguistics.
Cite (Informal):
LLM-Based Section Identifiers Excel on Open Source but Stumble in Real World Applications (Krishnamoorthy et al., ClinicalNLP-WS 2024)
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PDF:
https://preview.aclanthology.org/jeptaln-2024-ingestion/2024.clinicalnlp-1.22.pdf